Applies at all UrgentCare Chiropractic clinics and to all patients, visitors, and caregivers. This notice explains your rights and how we protect them. State and federal laws may grant additional rights.
Your Rights as a Patient
- Choose your provider and clinic. You have the right to obtain care from the provider or clinic of your choice and to request a second opinion or referral when clinically appropriate.
- Have a say in your care. You have the right to be informed about your diagnosis, treatment options, expected benefits and risks, alternatives, and likely outcomes, and to participate in decisions about your care plan.
- Speak freely and be heard. You have the right to voice questions, concerns, and preferences about the type of care offered at our clinics without fear of discrimination, retaliation, or any change in the quality of your care.
- Confidential conversations and privacy. You have the right to private discussions with your providers and to have your health information protected. We share your information only as permitted by law for treatment, payment, and health care operations, or with your authorization.
- Access to your records. You have the right to access and obtain copies of your health records—including electronic copies—and to request corrections of information you believe is incomplete or inaccurate.
- Billing clarity and financial information. You have the right to receive clear, timely information about charges, insurance coverage, and statements; to request financial counseling or estimates; and to ask questions about your bill.
- Dignity, respect, and non‑discrimination. You have the right to be treated with courtesy and respect in a safe, clean environment—without regard to race, color, national origin, age, disability, sex (including pregnancy, sexual orientation, gender identity), religion, creed, beliefs, or any other protected status.
- Interpreter and accessibility services. You have the right to free language assistance (qualified interpreters and translated vital documents) and to reasonable accommodations for disabilities. You may not be asked to provide your own interpreter (including family) except in limited circumstances permitted by law.
- Safe, considerate care. You have the right to care that follows professional standards, respects your cultural and personal values, and includes appropriate assessment and management of pain or discomfort.
- Chaperones and personal safety. You have the right to request a trained chaperone for sensitive exams and to be free from abuse, neglect, or harassment.
- Refuse or accept treatment. You may refuse a recommended test or treatment to the extent permitted by law and will be informed of the potential risks and alternatives. You may withdraw consent at any time.
- Know your care team. You have the right to know the names and roles of the people involved in your care and when trainees or observers are present. Your participation in education or research activities is voluntary and requires your consent.
- Continuity and coordination of care. You have the right to information about follow‑up care, referrals, and how to obtain services after you leave the clinic.
- Timely appointments and courteous service. You have the right to timely scheduling, reasonable wait times, and to be informed of delays or changes in your appointment.
- Grievances and feedback. You have the right to file a complaint or grievance and receive a timely response without fear of retaliation. See “How to share feedback” below.
How to Request Records or Billing Information
- Medical Records: Contact: medicalbilling@urgentcarechiropractic.com
- Billing Questions/Financial Assistance: Contact: 1.866.273.4228 | medicalbilling@urgentcarechiropractic.com
- We will respond within the time frames required by law. Fees, if any, will be limited to those permitted by law.
Language Access & Accessibility
We provide qualified medical interpreters at no cost and translate key documents upon request. We also offer reasonable accommodations (e.g., accessible facilities, assistive devices) so you can fully participate in your care. To request these services, contact 1.866.273.4228 or tell any team member.
Privacy & Confidentiality
We protect your health information as required by law. You have the right to:
- Receive a Notice of Privacy Practices describing how we use and share your information;
- Request restrictions on certain uses or disclosures;
- Request communications in a specific way (e.g., mail, portal);
- Obtain an accounting of certain disclosures; and
- Report privacy concerns without fear of retaliation.
How to Share Feedback or File a Complaint
- At the clinic: Talk with any team member or ask for a supervisor/clinic manager.
- By phone: 1.866.273.4228
- In writing: Any Clinic Address – We will review your concern promptly and let you know the outcome. You may also file a complaint with applicable state agencies or the U.S. Department of Health & Human Services Office for Civil Rights.
Optional: Patient Responsibilities (for website or brochure)
To help us provide safe, effective care, we ask patients to:
- Provide complete and accurate health information and updates about your condition and medications.
- Ask questions when you do not understand information, instructions, or risks.
- Follow the agreed‑upon care plan or discuss alternatives if you cannot.
- Treat other patients and staff with courtesy and respect.
- Keep appointments or let us know as soon as possible if you need to reschedule.
- Take responsibility for the timely payment of charges you owe and contact us if you need financial assistance.
Effective date: [01/01/2015]. Reviewed annually. This notice is for general informational purposes and is not legal advice. Please consult your legal counsel to ensure compliance with state‑specific requirements